| NPI | 1780278564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIGNASA BHAVSAR Owner 773-424-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-12-14 |